PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Health Status Review
Modified
9700
7275
0
Form and Instruction
PC-1789
Health Status Review
Report of Dental Examination
Removed
0
0
0
Form and Instruction
PC-1790
Report of Dental Examination
Report of Medical Examination
Modified
5000
3750
260000
Form and Instruction
PC-1790S
Report of Medical Examination
Total burden requested under this ICR:
14700
11025
260000
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